BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 2895797 · Received January 3, 2013

    Report

    Report Number
    3003433498-2013-00004
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Report Date
    January 3, 2013
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    A REPORT WAS RECEIVED WHERE THE FOOT ACTUATOR WILL NOT RAISE THE FOOT OF THE BED, IT JUST MAKES NOISE. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3171 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHCS3

    Patients

    Seq Age Sex Outcome Treatment
    1 Other